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Individual

KATHERINE LUNDGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
(469) 675-3154
Mailing address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
(469) 675-3154

Taxonomy

Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
108093
TX
225X00000X
Occupational Therapist
108093
TX
225XP0200X
Pediatric Occupational Therapist
Primary
108093
TX

Other

Enumeration date
12/14/2006
Last updated
07/28/2020
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